Brianna Keane

I am a Registered Nurse who has recently completed my first year as a new graduate, dedicated to delivering patient-centred, compassionate care. My commitment to high-quality nursing is informed by my formal training and previous caregiving experience. Over the past year, I have accrued over 1500 hours of experience in a fast-paced adult surgical ward and admitting unit, where I have acquired fundamental nursing abilities, while consistently prioritising patient safety, participation, and family perspectives. Prior to this, during my training, I completed over 1,100 hours of clinical placement as a nursing student in both adult and paediatric settings. I am a high adaptable individual, proficient at navigating constantly changing environments. I demonstrate initiative, alongside excellent time management skills to effectively address arising challenges. As a highly motivated individual with a positive mindset and bubbly, approachable personality, I am eager to further expand my skill set and continue growing as a professional nurse.

PICC certification

Venepuncuture 

Wound care including complex dressing such as Negative Pressure Wound Therapy

Female catheteriation 

Pain management including pain assessment and adminstering of analgesics and use of contiunious infusion pumps

Utilising online applications to document obsetvations, and outcomes, while communicating with memners of MDT 

IV medication administration 

Including education on medicationsafety, blood transfusion competency, Intravenous fluid therapy, New Zealand Early Warning score, Safe psyirny Handling, Pressure injujry prevention, CVAD endorsement, Entonox administration, Interporfessioal Education and principles of treaty of waitanig. 

I haven recently completed the New Entry to Practice Programme in New Zealand which provides support to new graduate nnurses and professional developement to faciliate transition into the workforce. 

I have also submitted my PDRP 

Surgical Paediatric Ward – Ward B7

18th March – 25th May 2024

· Worked in partnership with young patients and their whānau, involving them in decision-making, while promoting a supportive environment, striving to cater to specific cultural and spiritual needs.

· Provided quality nursing care for a full patient load by employing time management, reassessing and prioritising emerging health needs, while staying composed in fast-paced environments.

· Utilised policies and protocols to deliver pre and post-operative paediatric care, providing safe, evidence-based practice.

· Communicated with patients and whānau across various age groups, adapting my approach based off clinical judgement to meet specific communication needs, while using interpersonal skills to build rapport.

· Conducted nursing assessments to identify emerging health needs, applying appropriate interventions and evaluating the response to care, adjusting plans as needed.

· Proficiently administered paediatric medications including controlled and recorded medications, IV antibiotics, antiemetics and analgesia while ensuring patient safety.

· Delivered education to patients and whānau regarding pre/post-operative care, current plan of care, relevant treatments and at home care.

· Referred patients to relevant services such as Social Work, Physiotherapy and Dieticians, collaborating with the multidisciplinary team to discuss findings and develop care.

· Completed comprehensive patient documentation for a full patient load. Proficiently navigating systems such as Cortex, Health Connect South and Si-Pix.

Community Nursing – Travis Medical Centre

25th September – 3rd November 2023

· Safely administered immunisations to a wide age range of patients, while following the National New Zealand Immunisation Schedule, educating patients and whānau on the importance of immunisations.

· Actively promoted health by educating patients on lifestyle management, tailored to individual needs, empowering patients to make informed decisions regarding health habits.

· Assisted with community nurse referrals and utilised available resources to ensure patients receive high quality community care.

· Independently managed nurse led appointments, providing services such as Mini-ACE assessments, diabetes education, wound care and new patient appointments.

· Participated in daily multidisciplinary meetings to discuss and ensure that incoming patients were up to date with relevant health screenings.

General Surgical Ward – Ward A5

20th March – 2nd June 2023

· Managed a load of four patients, providing pre and post-operative care, while documenting patient notes to facilitate continuity of care.

· Built therapeutic relationships with patients and whānau through active listening, open communication and collaboration.

· Provided formal and informal pre and post-operative education sessions for patients and whānau, ensuring comprehension and understanding.

· Advanced management of nursing care skills such as wound care, stoma care, fluid balance charts, and pre/post-operative assessments.

· Administered medications such as analgesia and anti-medics. Prepared IV antibiotics and second checked controlled and recorded medications.

· Participated in an exposure day, gaining experience in PACU and the Operating Theatre.

Forensic Mental Health – Te Whare Mauri Ora

September 25 – October 2022

· Provided relevant nursing care catered to specific mental health conditions.

· Conducted daily risk, functional and MSE assessments, discussing findings with team to plan appropriate care.

· Involved in guided education sessions for inpatients, assisting with the teaching of functional skills such as cooking, cleaning, and navigating public transport to provide a stepping stone to the transition to community living.

· Documented accurate patient notes to provide a snapshot of current mental wellbeing of patients, promoting the continuity of care.

· Participated in the observation and administration of various mental health medications.

· Participated in weekly Hikoi trips with patients to facilitate cognitive functioning and social support.

· Used de-escalation skills alongside therapeutic communication in challenging situations to resolve conflict.